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1194093161
COREY LEE ANDERSON
RAPID CITY, SD
NPI
1194093161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0802)
Enumeration Date
2011-12-06
Last Update Date
2020-01-16
Business Address
COREY LEE ANDERSON PA-C
7220 S HIGHWAY 16
RAPID CITY, SD 57702-8708
Phone number: 605-341-1414
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Mailing Address
COREY LEE ANDERSON PA-C
PO BOX 6850
RAPID CITY, SD 57709-6850
Phone number: 605-737-9144
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